| NPI | 1376947838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ALLEN BLACKWOOD Owner 813-753-8598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: FL ME78386) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2014-10-17 |